ML Analysis — THE HOSPITALS OF PROV HORIZON CITY
CCN 670124 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Hold / Selective — investigate specific opportunities but be prepared for execution risk.
46
/ 100 (C)
Financial Health16/25
RCM Upside5/25
Market Position9/20
Demand Defensibility5/15
Operational Efficiency11/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
6.9%
R²=0.34 | n=4,907 | Grade B | Actual: 20.3%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-21.4%, 35.2%]. P77 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 3215035.938 | +0.2283 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 2561376.000 | -0.1114 | Higher Expense/Bed decreases predicted margin | |
| Reimbursement Quality | 0.070 | +0.0378 | Higher Reimbursement Quality increases predicted m | |
| Log(Beds) | 2.773 | -0.0372 | Lower Log(Beds) decreases predicted margin | |
| Net-to-Gross | 0.090 | -0.0312 | Lower Net-to-Gross decreases predicted margin |
Suburban Community Hospit
Archetype
46.3%
Distress Risk
$3.9M
RCM Opportunity
C
Opportunity Grade
27.9%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P69. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| PROMEDICA HICKMAN HOSPITAL | MI | 58 |
| WATAUGA MEDICAL CENTER | NC | 95 |
| ST LUKES HOSPITAL - EASTON CAMPUS | PA | 29 |
| CULPEPER MEMORIAL HOSPITAL | VA | 70 |
| SOUTHSIDE COMMUNITY HOSPITAL | VA | 80 |
| SPECTRUM HEALTH LUDINGTON | MI | 45 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
TX distress rate: 42.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.293 | +0.215 | ▲ risk |
| Net To Gross Ratio | 0.090 | -0.124 | ▼ risk |
| Revenue Per Bed | 3215035.938 | -0.097 | ▼ risk |
| Medicaid Day Pct | 0.009 | -0.079 | ▼ risk |
| Medicare Day Pct | 0.211 | -0.020 | ▼ risk |
| Beds | 16.000 | -0.018 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.9M
Current margin: 20.3%
Projected margin: 27.9%
Grade: C
Comps: 171
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Net-to-Gross Ratio Improvement | 0.090 | 0.562 | 47.2% | $2.8M | 65% | 18mo |
| Occupancy Improvement | 0.293 | 0.456 | 16.3% | $1.1M | 55% | 24mo |
Predicted RCM Performance (Public Data Only)
A
RCM Grade
Strong RCM profile — likely low-risk from an operations perspective. Focus diligence on growth thesis.
| Metric | Predicted | 90% CI | Percentile | Assessment |
|---|---|---|---|---|
| Denial Rate | 2.0% | [2.0%, 25.0%] | P0 | Strong — predicted denial rate is in the top third nationall |
| Days in AR | 32.7 | [25.0, 75.0] | P73 | Strong — predicted days in ar is in the top third nationally |
| Clean Claim Rate | 98.0% | [80.0%, 98.0%] | P0 | Strong — predicted clean claim rate is in the top third. |
| Net Collection Rate | 99.4% | [90.0%, 99.5%] | P6 | Strong — predicted net collection rate is in the top third. |